Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Evelyn A. Brakema; Frederik A. van Gemert; Sian Williams; Talant Sooronbaev; Berik Emilov; Maamed Mademilov; Aizhamal Tabyshova; Pham Le An; Nguyen Nhat Quynh; Le Huynh Thi Cam Hong; Tran Ngoc Dang; Rianne M.J.J. van der Kleij; Niels H. Chavannes; Corina de Jong; The FRESH AIR collaborators

doi:10.1038/s41533-020-00201-z

Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Evelyn A. Brakema
, Frederik A. van Gemert
, Sian Williams
, Talant Sooronbaev
, Berik Emilov
, Maamed Mademilov
, Aizhamal Tabyshova
, Pham Le An
, Nguyen Nhat Quynh
, Le Huynh Thi Cam Hong
, Tran Ngoc Dang
, Rianne M.J.J. van der Kleij
, Niels H. Chavannes
, Corina de Jong
, The FRESH AIR collaborators

Leiden University
International Primary Care Respiratory Group
National Center of Cardiology and Internal Medicine
University of Medicine and Pharmacy at Ho Chi Minh City
Mulago Hospital
University of Groningen

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

76 Downloads (Pure)

Abstract

Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

Original language	English
Article number	42
Pages (from-to)	1-8
Number of pages	8
Journal	npj Primary Care Respiratory Medicine
Volume	30
Issue number	1
DOIs	https://doi.org/10.1038/s41533-020-00201-z
Publication status	Published - 6 Oct 2020

Bibliographical note

Note - Sally Singh, Faculty of Health & Life Sciences, is a member of the collaborative group 'The FRESH AIR collaborators' - Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing,adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

Funder

This study was funded by the EU Research and Innovation programme Horizon 2020 (Health, Medical research and the challenge of ageing) under grant agreement no. 680997,

Funding

This study was funded by the EU Research and Innovation programme Horizon 2020 (Health, Medical research and the challenge of ageing) under grant agreement no. 680997, Trial register: TRIAL ID NTR5759,

Funders	Funder number
Horizon Europe	680997

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Disease prevention
Patient education
Public health
Respiratory tract diseases
Translational research

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Public Health, Environmental and Occupational Health
Family Practice

Access to Document

10.1038/s41533-020-00201-zLicence: CC BY

PublishedFinal published version, 1.38 MBLicence: CC BY

Cite this

Brakema, E. A., van Gemert, F. A., Williams, S., Sooronbaev, T., Emilov, B., Mademilov, M., Tabyshova, A., An, P. L., Quynh, N. N., Hong, L. H. T. C., Dang, T. N., van der Kleij, R. M. J. J., Chavannes, N. H., de Jong, C., & The FRESH AIR collaborators (2020). Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study. npj Primary Care Respiratory Medicine, 30(1), 1-8. Article 42. https://doi.org/10.1038/s41533-020-00201-z

Brakema, EA, van Gemert, FA, Williams, S, Sooronbaev, T, Emilov, B, Mademilov, M, Tabyshova, A, An, PL, Quynh, NN, Hong, LHTC, Dang, TN, van der Kleij, RMJJ, Chavannes, NH, de Jong, C & The FRESH AIR collaborators 2020, 'Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study', npj Primary Care Respiratory Medicine, vol. 30, no. 1, 42, pp. 1-8. https://doi.org/10.1038/s41533-020-00201-z

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AU - Emilov, Berik

AU - Mademilov, Maamed

AU - Tabyshova, Aizhamal

AU - An, Pham Le

AU - Quynh, Nguyen Nhat

AU - Hong, Le Huynh Thi Cam

AU - Dang, Tran Ngoc

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AU - The FRESH AIR collaborators

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Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

Abstract

Bibliographical note

Funder

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

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Publisher Correction: Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study (npj Primary Care Respiratory Medicine, (2020), 30, 1, (42), 10.1038/s41533-020-00201-z)

Cite this